I suffer from reflux, underwent an upper GI series, and have been told that I have a paraesophageal hiatal hernia. I have an appointment with a gastroenterologist, but my internist said that I might need surgery. My symptoms aren't that bad. Should I be concerned?
Hiatal hernias are defects in the diaphragm that allow the stomach to slide up into the chest. While they can cause heartburn, generally this is controlled with medications and surgery is not needed. The stomach moves up through the diaphragm right underneath the esophagus. That type of hernia is called a sliding hiatal hernia. The much rarer type, paraesophageal hernia, occurs when the stomach goes through the diaphragm next to the esophagus. Paraesophageal hernias generally tend to enlarge with time, and sometimes the entire stomach is found within the chest. Most patients with a paraesophageal hernia remain asymptomatic. In this type of hernia, symptoms from acid reflux usually do not occur. Instead, the most commo...
A hernia is usually a sac formed by the lining of the abdominal cavity (peritoneum). The sac comes through a hole or weak area in the fascia, the strong layer of the abdominal wall that surrounds the muscle.
The types of hernias are based on where they occur:
appears as a bulge in the upper thigh. This type is more common in women than men.
occurs in the upper part of the stomach.
Incisional hernia can occur through a scar if you have had abdominal surgery in the past.
Inguinal hernia appears as a bulge in the groin. This type is more common in men than women. The bulge may go all the way down into the scrotum.
appears as a bulge around the belly button. It occurs when the muscle around the navel doesn't close completely.
Hernia - inguinal; Inguinal hernia; Rupture; Strangulation; Incarceration
Causes, incidence, and ...
GERD is one of the most prevalent gastrointestinal disorders. Nearly 7% of persons in the U.S. experience heartburn daily, 20% experience it monthly, and 60% experience it intermittently. Incidence in pregnant women exceeds 80%. Scientists do not know why GERD occurs. Some cases of acid reflux disease are related to a condition called "hiatal hernia." A hiatal hernia occurs when the upper part of the stomach is above the diaphragm. The diaphragm helps the lower esophageal sphincter keep digestive enzymes and acid from coming back into the esophagus. Although no one knows why GERD occurs, there are several factors that are thought to contribute to the disorder. These factors include alcohol use, obesity or overweight, pregnancy, and smoking. Certain foods that may irritate the digestive system can also contribute to GERD, though there's plenty of contradictory evidence as to whether or not certain foods actually cause GERD symptoms. Foods that have been reported to ca...
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